The State of Missouri provides no funding for HCV testing, referral and
treatment. In order to provide these services, the DHSS Hepatitis C Program
partners with LPHAs, CBOs, educational institutions, corporate entities, and
non-profit organizations to provide targeted testing and referral for care
around the State.

Our hepatitis A and hepatitis B vaccination program for adults began in 2003
with six local public health departments and has since expanded to over 90/115
county and local health departments in the Missouri. Immunizations are provided
to adults in clinic and outreach settings who are able to identify at least one
risk factor (which includes unstated self-perceived risk as an option) as an
activity he/she has engaged in at some time. A list of these risk factors is
provided to the client.